Reuben Arvell Easter III, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

T980657983 Issued in MO

Practice address

630 Saint Brendan LN
Florissant, MO 63031-6902

Phone

(314) 839-0595

NPI assigned

Feb 3, 2010

Last updated

Feb 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1952633786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 SAINT BRENDAN LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630316902",
            "telephone_number": "314-839-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 SAINT BRENDAN LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630316902",
            "telephone_number": "314-839-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTER",
        "first_name": "REUBEN",
        "middle_name": "ARVELL",
        "name_suffix": "III",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "T980657983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Florissant, MO
• Providers in Florissant, MO by specialty
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.